Individual
DR. DAVID A FANION
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 ATWELL RD, COOPERSTOWN, NY 13326-1301
(607) 547-3909
(607) 547-6325
Mailing address
PO BOX 725, COOPERSTOWN, NY 13326-0725
(607) 547-3909
(607) 547-6325
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
205591
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01744229
—
NY
Enumeration date
05/12/2006
Last updated
10/31/2014
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